- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for ... members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: Spring/Fall Co-op (Semester): The Spring/Fall College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate ... students the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire summer. In addition,… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …Thank you for your interest in our Customer Care team. Due to the volume of applications we receive, we review all applications in the order in which they were ... received. If you are chosen to move to the next step in the process, you will receive a Video Assessment from ###@jobalerts.excellusbcbs.com. Summary The Customer Care (CC) Advocate resolves customer inquiries via telephone, walk in, mail, fax, web chat,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: Fall 2025 Co-op (Semester): The Fall 2025 College Internship Program is a paid co-op/internship experience that provides undergraduate and graduate students ... the opportunity to attend development workshops, network, and be part of our company. Our college interns work on meaningful projects, are mentored under their respective managers, and continue to develop throughout the entire summer. In addition, through the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: This position is responsible conducting face to face assessment of members in their home and/or facility. The incumbent utilizes required NYS Community ... Health Assessment (CHA) Tools to determine functional status, medical, behavioral, psychological, and community resource needs for coordinating, integrating, and monitoring the use of medical and health care services for members. The SN CHA Nurse may also… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Based on the territory associated with this role, candidates must reside in Rochester, NY Summary: The Account Sales Consultant is responsible for prospecting new ... sales while providing service solutions for existing accounts. In accordance with established annual sales and retention goals, the Account Sales Consultant will provide existing accounts and brokers with education, benefit consulting, guidance, and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …The position provides clinical leadership and support for the development and implementation of the Children's Behavioral Health (BH) Carve-In program. The Medical ... Director for BH Children's Services has overall accountability for BH services for all Medicaid Managed Care enrollees under age 21 years. Essential Responsibilities/Accountabilities: + Leads, develops, and implements the Children's Behavioral Health Carve-In… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Based on the territory associated with this role, candidates must reside in our Western NY service area (consisting of Allegany, Cattaraugus, Chautauqua, Erie, ... Genesee, Niagara, Orleans and Wyoming counties) Summary: This role is responsible for sales and leading the provision of service solutions of assigned accounts and territories. The incumbent is primarily responsible for the sales and prospecting activity for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary The Manager of Collaboration and ServiceNow Technology is responsible for driving the operations, management, administration, maintenance, and support of the ... Microsoft 365 Collaboration technology, including Teams, SharePoint, and Power Platform along with all ServiceNow environment(s) across the organization. This role maintains a heavy focus on developing and maturing the employee user experience throughout the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the ... understanding of current data & environment and modeling of future events. This role is amongst the group that is responsible for providing a range of experience working to establishing rates, rating structures and systems and reserves. The Actuarial Analyst… more